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目的:观察比较上消化道出血患者胃镜下不同止血治疗方法的效果,为临床诊断治疗提供依据。方法:选择上消化道出血51例,根据常规检查和胃镜检查确定的病情,分别选择不同的胃镜下止血方法,比较不同止血方法的成功率。结果:钳夹或套扎止血治疗14例,成功12例,成功率为85.7%;黏膜下注射肾上腺素止血治疗11例,成功10例,成功率为90.9%;局部喷洒凝血酶止血治疗26例,成功24例,成功率92.3%;胃镜下3种不同止血方法的成功率比较,差异不显著(P>0.05)。结论:3种方法胃镜下止血效果相近,可根据患者病情选择合适的止血方法。
Objective: To observe and compare the effects of different hemostatic treatment under endoscopy in patients with upper gastrointestinal bleeding, and provide the basis for clinical diagnosis and treatment. Methods: Fifty-one cases of upper gastrointestinal bleeding were selected. According to the routine examination and gastroscopy, different methods of gastroscopic hemostasis were chosen to compare the success rates of different hemostatic methods. Results: Fourteen cases were treated by clamp or ligation and hemostasis. The success rate was 85.7% in 12 cases. In submucosal injection of epinephrine, 11 cases were treated with epinephrine, and 10 cases were successful. The success rate was 90.9% , Success in 24 cases, the success rate was 92.3%; three different hemostatic endoscopy in the success rate comparison, the difference was not significant (P> 0.05). Conclusion: The three methods have similar hemostatic effects under endoscopy, and the appropriate method of hemostasis can be selected according to the patient’s condition.